In-Home Chronic Care Specialist

Upward Health; Joliet (IL); On-site; USD 42,000 - 62,000; Full time

Job summary

Upward Health is seeking a Care Specialist to deliver chronic care management primarily in patients' homes and communities, with some virtual care. You’ll guide enrollment, coordinate care, and support adherence to care plans.

The role emphasizes building rapport, coordinating with providers, and educating patients to improve outcomes and reduce hospitalizations. Strong communication and organization are essential.

Qualifications

• Minimum of 2 years of relevant work experience (e.g., CHW, Peer Support Specialist, Medical Assistant, etc.).
• High school diploma or GED required.
• A valid driver’s license, auto liability insurance, and reliable transportation to travel within the assigned territory.
• Experience in chronic care management or working with chronically ill/elderly patients.
• Technologically proficient with basic computer skills (typing, using EMR systems).
• Experience with motivational interviewing, trauma-informed care, and care coordination.
• Strong interpersonal communication skills with the ability to engage patients and team members effectively.
• Ability to prioritize tasks, manage schedules, and work independently in an unstructured environment.
• Multi-lingual skills are a plus but not required.
• Prior home care experience is beneficial.

Responsibilities

• Outreach to patients, guiding enrollment, and coordinating care.
• Assist with virtual appointments and education to promote adherence to care plans.
• Build relationships to improve health outcomes and prevent hospitalizations.

Skills

Community health worker

Care coordination

Motivational interviewing

Empathy

Communication

Time management

Multilingual (plus)

Driver’s license & transport

Education

High school diploma or GED

Tools

EMR systems

Job description

Upward Health is seeking a Care Specialist to deliver chronic care management primarily in patients' homes and communities, with some virtual care. You’ll guide enrollment, coordinate care, and support adherence to care plans.

The role emphasizes building rapport, coordinating with providers, and educating patients to improve outcomes and reduce hospitalizations. Strong communication and organization are essential.